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Friday, March 11, 2011

Weekly Medical Tips

Why are Sudden Deaths in Athletes occurring and what can be done to prevent it and what are the warning signs? Arrhythmogenic right ventricular dysplasia (ARVD) can be a predisposition to athletes sudden cardiac arrest (Furlanello, F., Bertold, A., Dallago, M., Furalanello,  C., Fernando, F., Inama, C., Pappone, S. & Chierchia, S.).
 A study of 134 athletes who had cardiovascular reason for death were 120, (90%) MALE, (52%) WHITE, (44%) BLACK. The most prevalent sport was basketball 47 cases, football 45 cases.  Combined together 68% of sudden deaths. Out of 121 athletes (90%) 78 cases, collapsed  during or immediately after training. Formal athletic contest 43 cases "with 80 deaths (63%) occurred between 3 PM and 9PM." The most common cardiac disease that was diagnosed is hyperthrophic cardiomyopathy (48% athletes) (Maron , B., MD; Jamshid Shirani, MD; Liviu C. Poliac, MD; Robert Mathenge, MD; William C. Roberts, MD; Frederick O. Mueller, PhD)

What should be done to assure that our young athletes don't have an underlying heart condition that puts them in the risk of dying. 
*Must be aware of family history
*Complete physical  before playing competitive sports
If there is any doubt in your child's health have the following test done: 
*ECG (electrocardiograph), EKG
*Ultra Sound of the heart
Signs to look for:
*Chest pain
*Fainting
*Shortness of breath
Ask if the coach has CPR experience and if it is current,  also if they have a heart defibrillator on hand? 




abcNews. (March 7, 2011). Spotting Heart Issues in Young Athletes. Cleveland Clinic's Dr. Marc Gillinov discusses the warning signs. Retrieved arch 10, 2011, from
http://abcnews.go.com/Health/video/spotting-heart-issues-young-athletes-13080228

F. FURLANELLOA. BERTOLDIM. DALLAGOC. FURLANELLOF. FERNANDOG. INAMAC. PAPPONES. CHIERCHIAAll (Jun. 2006). Cardiac Arrest And Sudden Death in Competitive Athletes
with Arrthythmogenic Right Ventricular Dysplasia. Pacing and Clinical Electrophysiology. Vol.21 Iss. 1, (pgs.  331-335). Retrieved March 10, 2011, from  http://onlinelibrary.wiley.com/doi/10.1111/j.1540-8159.1998.tb01116.x/abstract

Barry J. Maron, MD; Jamshid Shirani, MD; Liviu C. Poliac, MD; Robert Mathenge, MD; William C. Roberts, MD; Frederick O. Mueller, PhD. (1996). Sudden Death in Young Competitive Athletes. Clinical, Demographic, and Pathological Profiles. Retrieved march 10, 2011, from http://jama.ama-assn.org/content/276/3/199.abstract

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